National Provider Identifier [NPI]: |
1548254436 |
Last Name Of The Provider |
PIROS |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1499 FAIR RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
STATESBORO |
Zip Code Of The Provider |
304581683 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
222 |
Number Of Services |
6641 |
Number Of Medicare Beneficiaries |
3129 |
Total Submitted Charge Amount |
1090992 |
Total Medicare Allowed Amount |
211883.96 |
Total Medicare Payment Amount |
162554.13 |
Total Medicare Standardized Payment Amount |
170405.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
222 |
Number Of Medical Services |
6641 |
Number Of Medicare Beneficiaries With Medical Services |
3129 |
Total Medical Submitted Charge Amount |
1090992 |
Total Medical Medicare Allowed Amount |
211883.96 |
Total Medical Medicare Payment Amount |
162554.13 |
Total Medical Medicare Standardized Payment Amount |
170405.27 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
735 |
Number Of Beneficiaries Age 65 to 74 |
1184 |
Number Of Beneficiaries Age 75 to 84 |
825 |
Number Of Beneficiaries Age Greater 84 |
385 |
Number Of Female Beneficiaries |
1984 |
Number Of Male Beneficiaries |
1145 |
Number Of Non Hispanic White Beneficiaries |
2348 |
Number Of Black or African American Beneficiaries |
719 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
2027 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1102 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6033 |